TIN|581086339| NPI|1174682546| TYPE|DESC|PER DIEMS Inpatient|Detox|$857.00 Inpatient|Rehab|$798.00 Outpatient|Partial Hospitalization|$533.00 Outpatient|Intensive Outpatient|$153.00 Other Services|Individual with Licensed Therapist|$97.00 Other Services|Individual with Certified Addiction Counselor|$83.00 Other Services|Group Therapy Session|$68.00 Other Services|Family Therapy Session|$130.00 Other Services|Substance Abuse Assessment (other Licensed Practitioner)|$163.00 Other Services|Physician initial Assessment|$175.00 Other Services|Physician Routine Visit|$107.00 Comments|All fees are inclusvice of ancillary charges and physcians' fees for all psychiatric and/or chemical dependency treatments. Fees for psychological testing are excluded from the above per diem rates.